person
Tara L Johnson, FNP
Family Nurse Practitioner in Moline, Illinois
NPI 1194261479

Tara L Johnson is a Family Nurse Practitioner based in Davenport, IL and is specialized in Family. Tara L Johnson practices in Moline, IL and has the professional credentials of FNP. The NPI Number for Tara L Johnson is 1194261479 and holds a License No. 209015676 (Illinois).

The current practice location address for Tara L Johnson is 1100 36Th Ave, Moline, IL and can be reached out via phone at 309-743-6700 and via fax at 309-764-2042.

Location: 1100 36Th Ave, Moline, IL, 52803-2473
person
Provider Profile Details
NPI Number
1194261479
Provider Name
Tara L Johnson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1100 36Th Ave, Moline, IL, 52803-2473
Phone Number
309-743-6700
Fax Number
309-764-2042
Provider Enumeration Date
01/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 36Th Ave
City
State
Zip
61265-7127
Phone Number
309-743-6700
Fax Number
309-764-2042
person
Provider Business Mailing Address Details
Address
1100 36Th Ave
City
State
Zip
61265-7127
Phone Number
309-743-6700
Fax Number
309-764-2042
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209015676 (Illinois)
Definition
Definition to come...
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